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Utah rates for HCPCS J1652

Fondaparinux Sodium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.84 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.01 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.72 / $0.72