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Connecticut rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $26.30 / $46.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $17.20 / $17.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.79 / $27.70 / $51.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $17.95 / $20.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $16.54 / $32.54