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Wisconsin 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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $281.84 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $128.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $131.83 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $1,445.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $169.82