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New Mexico rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Facilitymedian $23 · 10th–90th $16–$440%20%10th90th$23Professionalmedian $15 · 10th–90th $14–$220%50%10th90th$15$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $22.91 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $31.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $16.22