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North Carolina rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $17.78 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $29.51 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.49 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.60 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $26.30 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $23.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00