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Indiana 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
$120.00 / $300.00 / $540.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $250.00 / $331.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $275.00 / $275.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.41 / $177.19 / $240.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.19 / $203.77 / $239.20
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 / $350.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $155.00