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Oklahoma rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $19.48 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $17.86 / $17.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.63 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $16.54 / $16.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $20.45 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $18.04 / $18.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54