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Iowa 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
$150.00 / $150.00 / $331.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.11 / $132.11 / $132.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $588.77 / $588.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $131.56 / $150.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $128.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.13 / $218.39 / $317.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $150.13 / $150.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $128.75
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00