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Virginia rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.50 / $23.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.76 / $0.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.68 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.86 / $9.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $4.76 / $7.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.87 / $5.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.87 / $5.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.90