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Georgia 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
$124.50 / $124.50 / $124.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $124.50 / $124.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $213.89 / $482.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $142.50 / $142.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $131.25 / $257.25
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
Kaiser Permanente
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 / $125.00 / $137.91