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Iowa rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $4.76 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.21 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.03 / $1.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.30 / $11.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.22 / $5.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $4.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.01 / $2.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.84 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72