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Utah rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.62 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.41 / $12.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.27 / $4.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.07 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07