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Virginia rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $20.68 / $41.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $17.37 / $17.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $25.36 / $38.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $19.85 / $35.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $22.61 / $33.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $20.01 / $36.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $20.01 / $36.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.54 / $20.76