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Montana rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Facilitymedian $1 · 10th–90th $1–$430%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $2.45 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.12 / $4.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.12 / $4.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $4.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $0.87