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Hawaii rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.87 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.81 / $1.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.29 / $4.67