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Maine rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.87 / $0.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.87 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.26