go back

Pennsylvania rates for HCPCS J1652

Fondaparinux Sodium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $1.90 / $11.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $3.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.78 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $26.67 / $26.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $1.79 / $7.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $2.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.32