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Michigan rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $29.51 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $33.11 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $42.66 / $47.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.49 / $20.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.22