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Louisiana rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $18.57 / $39.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.71 / $21.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $13.11 / $26.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07