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Tennessee rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.06 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $5.47