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Ohio rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.92 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.59 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.47 / $7.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $6.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $6.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.01 / $5.89
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $6.92 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $4.37