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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
$4.74 / $4.76 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $5.63 / $6.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $7.86 / $11.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.09 / $4.09