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Idaho 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
$127.50 / $127.50 / $140,162.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $127.50 / $129.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $136.74 / $184.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.68 / $198.12 / $402.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $159.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00