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South Carolina 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
$123.00 / $123.00 / $497.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.50 / $127.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.62 / $367.65 / $619.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $150.00 / $180.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $147.60 / $166.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.82 / $504.82 / $504.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $153.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00