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Hawaii rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.38 / $25.38 / $25.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $25.37 / $25.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $20.23 / $20.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.85 / $23.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.64 / $24.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $16.77 / $21.05