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Illinois rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $25.12 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.79 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $39.81 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $24.55 / $44.67
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98