go back

Oregon rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.74 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.95 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.45 / $1.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.93 / $1.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.93 / $7.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.89 / $1.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.26 / $6.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.89 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87