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Alaska rates for HCPCS J7169

Injection, coagulation Factor Xa (recombinant), inactivated-zhzo (Andexxa), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.48 / $200.48 / $708.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $202.50 / $202.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.58 / $289.58 / $289.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $210.00 / $330.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $289.58 / $495.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $187.50 / $252.15