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Oregon rates for HCPCS J1645

Injection Dalteparin Sodium Per 2500 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $19.84 / $33.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $18.04 / $27.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $19.62 / $32.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $17.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $39.20 / $46.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $23.65 / $41.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $17.53 / $20.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $20.68 / $37.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $23.65 / $41.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $17.94 / $21.51
Regence BlueShield
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