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West 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 / $127.50 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $127.50 / $127.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,999.30 / $69,999.30 / $69,999.30
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 / $190.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $200.00