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Kansas rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.98 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $20.42 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $25.12 / $31.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $25.12