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Ohio rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $25.12 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $32.36 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.60 / $26.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $48.98
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.79
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $18.62 / $22.91
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.92 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.60