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Utah rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Facilitymedian $32 · 10th–90th $17–$320%20%40%10th$32Professionalmedian $16 · 10th–90th $14–$180%20%40%10th90th$16$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
$16.98 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $16.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79