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West Virginia rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $18.22 / $33.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $18.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $24.81 / $24.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $16.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $30.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $16.54 / $35.38