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Massachusetts rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.55 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.75 / $16.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.29 / $2.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $7.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.29 / $2.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.41 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $7.76