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Michigan rates for HCPCS J1652

Fondaparinux Sodium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $1.30 / $102.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.74 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.66 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $7.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.44 / $51.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.74 / $1.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76