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New Hampshire rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.86 / $3,977.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.08 / $2.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.20 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.74 / $11.60