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Idaho rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.80 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.72
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
$0.80 / $0.95 / $8.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $8.05