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Ohio rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $2.24 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.12 / $4.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.91 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.98 / $1.66
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $7.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $7.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.95 / $1.23
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.35 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.15