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Minnesota 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 / $36.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $27.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $17.26 / $23.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $18.04 / $18.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $55.78 / $67.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $20.55 / $20.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $50.90 / $63.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $16.35 / $22.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $18.04 / $30.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $31.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $29.98