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Indiana rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $41.30 / $81.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.71 / $18.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $33.08 / $49.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $16.54 / $23.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $22.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $20.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $16.54 / $47.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $26.56