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Alaska rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $4.69 / $159.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.34 / $3.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $2.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $8.06 / $12.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $8.06 / $19.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.08 / $1.45