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Indiana rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $2.21 / $3.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $0.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.44 / $2.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $1.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.90
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 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.44