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Missouri rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $33.19 / $39.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $18.22 / $38.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $28.12 / $43.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $20.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $36.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $18.04 / $20.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $16.54 / $20.23