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Texas rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.20 / $32.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.73 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $5.90 / $11.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.04 / $7.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.72 / $1.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.72 / $4.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.97