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Oregon 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
$124.50 / $124.50 / $127.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $178.04 / $267.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.52 / $170.79 / $328.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.08 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.38 / $165.00 / $267.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $156.25 / $156.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.85 / $291.50 / $725.84
Regence BlueShield
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 / $125.00