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Washington, DC rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $50.87 / $68.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $25.36 / $42.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $16.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.06 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $16.54 / $26.81