go back

Louisiana rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.76 / $1.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $0.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.50