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Arizona rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.70 / $33.08 / $49.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.83 / $27.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $57.18 / $91.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $17.46 / $105.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $16.54 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $23.82 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $18.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54