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California rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.44 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $3.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.79 / $1.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $9.94
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $4.90 / $8.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.86 / $1.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.72 / $1.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.93