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Massachusetts rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $33.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $17.20 / $21.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.75 / $21.11 / $44.99
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.68 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $35.06
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.07