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North Carolina rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $4.90 / $97.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.07 / $4.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.73 / $13.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $2.31
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 / $5.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.07 / $6.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.16 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00