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Louisiana 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 / $210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.50 / $231.66 / $270.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $137.69
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $150.00