go back

West Virginia rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $6.15 / $6.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.09 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $7.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.35