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Pennsylvania rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Facilitymedian $2 · 10th–90th $1–$100%10%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$110%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.29 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.75 / $15.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.95 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $2.82 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.38 / $1.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $2.29 / $3.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.83 / $0.93 / $1.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.93 / $1.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.62