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Massachusetts 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 / $300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $330.00 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $127.50 / $161.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.90 / $181.83 / $387.60
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.56 / $207.86 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $264.79
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,920.92 / $33,920.92 / $33,920.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $1,457.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $187.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $175.01