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Arizona rates for HCPCS J1652

Fondaparinux Sodium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.44 / $2.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $3.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $2.74 / $4.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.70 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.12 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72