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Nebraska rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.26 / $1.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $3.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.04 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.03 / $4.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.86 / $1.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $4.76 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.20 / $2.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $2.16 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.79