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Nebraska 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 / $288.32 / $331.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $201.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.56 / $150.00 / $1,457.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $150.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.70 / $237.24 / $309.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $150.13 / $150.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $125.00 / $137.50