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Arkansas rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $19.85 / $21.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $19.85 / $21.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $19.57 / $19.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $16.54 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07