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Missouri rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $5.76 / $181.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.74 / $5.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.76 / $1.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.90
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $5.47 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.88