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Pennsylvania rates for HCPCS J1650

Injection Enoxaparin Sodium 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $8.43 / $97.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.81
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1,610.66 / $3,448.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.59 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $4.11 / $37.40
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $2,040.58 / $3,448.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $9.56 / $105.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.64 / $1.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.59 / $0.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.08