go back

Massachusetts rates for HCPCS J1652

Fondaparinux Sodium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.75 / $0.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.27 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $7.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.92 / $1.96
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 / $0.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.53
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,158.10 / $3,158.10 / $3,158.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $7.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $7.75