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Maine rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $41.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $21.83 / $21.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.14 / $51.14 / $51.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $20.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $41.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $21.83 / $41.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $24.81