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North Dakota 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 / $32.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $21.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $18.04 / $18.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $18.01 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $16.51 / $20.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $18.04 / $33.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $18.04 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $16.54 / $17.96