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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
$16.54 / $27.13 / $49.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $17.04 / $21.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.40 / $39.61 / $185.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $23.16 / $40.67
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
$21.50 / $21.50 / $21.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07