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Missouri 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 / $150.00 / $204.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $157.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $212.50 / $471.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $112.50 / $150.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $150.00 / $1,457.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $125.00 / $143.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.25 / $125.00 / $147.00