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Pennsylvania rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $9.57 / $12.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.15 / $9.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.45 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $8.14 / $12.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.15 / $12.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.09 / $4.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.35