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Arizona 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
$160.50 / $300.00 / $450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.50 / $121.50 / $145.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.45 / $446.00 / $706.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $120.00 / $795.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.65 / $173.75 / $330.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00