Andexxa injection, 10 mg (coagulation reversal agent)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION (ANDEXXA)

Payers reporting HCPCS J7169

Payer pricing summary

Low

$21

Average

$2.2k

Median

$1.3k

High

$9.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	552	$199	$451	$1.7k	383%	—	$91 – $22.7k
2	Aetna fee schedule · outpatient · +21 other terms	363	$133	$466	$1.9k	412%	—	$102 – $22.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	272	$255	$731	$1.5k	207%	—	$1 – $12k
4	Cigna fee schedule · outpatient · +17 other terms	268	$185	$646	$3.1k	476%	—	$91 – $42.8k
5	Humana fee schedule · outpatient · +18 other terms	223	$132	$555	$2.8k	500%	—	$120 – $23.8k
6	WellCare fee schedule · outpatient · +10 other terms	120	$133	$241	$484	200%	—	$123 – $2.7k
7	Anthem facility · fee schedule · outpatient · +18 other terms	104	$136	$842	$4.9k	583%	—	$16 – $46.4k
8	Molina fee schedule · outpatient · +15 other terms	101	$144	$876	$2.9k	334%	—	$98 – $14.1k
9	Devoted fee schedule · outpatient · +4 other terms	67	$134	$132	$7	6%	—	$120 – $146
10	Kaiser fee schedule · outpatient · +13 other terms	61	$164	$390	$636	163%	—	$105 – $2.7k
11	Ambetter facility · fee schedule · outpatient · +9 other terms	55	$232	$389	$791	204%	—	$131 – $4.9k
12	Caresource fee schedule · outpatient · +10 other terms	41	$153	$350	$681	195%	—	$131 – $2.7k
13	Optum fee schedule · outpatient · +12 other terms	35	$129	$160	$63	39%	—	$117 – $377
14	Oscar facility · fee schedule · outpatient · +9 other terms	35	$197	$192	$33	17%	—	$135 – $244
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$1.0k	$951	$465	49%	—	$124 – $1.9k
16	Clover fee schedule · outpatient · +5 other terms	29	$146	$528	$903	171%	—	$124 – $2.6k
17	Highmark facility · fee schedule · outpatient · +8 other terms	27	$190	$586	$472	81%	—	$105 – $2.0k
18	Medicare fee schedule · outpatient · +3 other terms	24	$129	$574	$957	167%	—	$100 – $2.6k
19	Regence facility · fee schedule · outpatient · +5 other terms	21	$137	$168	$119	71%	—	$112 – $715
20	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	20	$142	$511	$1.2k	244%	—	$129 – $5.6k
21	Aetna Better Health fee schedule · outpatient · +9 other terms	18	$130	$128	$3	3%	—	$124 – $131
22	MultiPlan fee schedule · outpatient · +14 other terms	18	$222	$333	$395	119%	—	$132 – $2.2k
23	Tricare facility · fee schedule · outpatient · +8 other terms	17	$2.9k	$4.9k	$4.6k	95%	—	$125 – $15k
24	Medica fee schedule · both · +11 other terms	15	$215	$191	$64	34%	—	$125 – $279
25	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$131	$174	$91	52%	—	$71 – $522

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