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New York rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.55 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.55
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $12.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.98 / $2.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.87 / $1.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.76 / $5.75