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Michigan 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 / $120.00 / $374.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.72 / $269.72 / $510.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.23 / $123.40 / $123.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $150.00 / $333.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $132.50 / $159.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.75 / $198.75 / $198.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $150.00