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Virginia 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 / $139.22 / $275.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $277.20 / $446.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $194.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.75 / $125.00 / $160.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $125.00 / $160.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.25 / $125.00 / $150.00