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Maryland rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $18.04 / $18.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $24.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $18.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $21.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $31.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $26.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $13.86 / $13.86