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Washington rates for HCPCS J1652

Injection, fondaparinux sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.44 / $5.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.80 / $1.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.01 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.90 / $2.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $4.78 / $4.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.77 / $5.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72