go back

New Mexico rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $28.12 / $28.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $21.01 / $27.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $13.79 / $16.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54