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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
$1.02 / $1.78 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.89 / $1.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $4.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.10 / $1.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.12