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Antithrombin III (Human) Injection

Virginia rates for HCPCS J7197 · Thrombate III

Antithrombin III (human), per IU

Rates data updated July 2026.

How much does Thrombate III cost?

$4.27per IU

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4.27 for each IU of this drug. The price depends on where it is billed: about $4.07 from a physician practice, and about $8.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$4.07
At a hospital outpatient department
$8.13

The same drug, in the same amount, costs 100% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$4.07 to $4.27
FacilityA hospital or hospital-owned outpatient department$8.13$4.07 to $10.23

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $14Professionalmedian $4 · 10th to 90th $4 to $6
$5$10$20$50facility $8professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.17
Typical High
$4.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$8.13
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$6.92
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.31
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.07
Typical High
$5.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$4.07
Typical High
$6.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$6.03
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.01
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.07
Typical High
$5.13

Where Virginia sits

The same service costs 2.4 times more in Delaware than in Massachusetts. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 27th of 51

$4.27

DE $9.77MA $4.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.