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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
$18.39 / $33.19 / $79.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $17.86 / $27.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $20.28 / $22.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $17.88 / $17.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $25.26 / $31.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $18.04 / $28.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $28.12