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California rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $30.90 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $18.62 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.38 / $54.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $33.88 / $38.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $19.05 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.22 / $33.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $23.99 / $39.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $29.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $39.81