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NDC 69021701

"Dalteparin Porcine 10,000 anti-Xa unit/mL Syringe 1 mL SYRINGE"

Reported by 40 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$22

Average

$22

Median

$22

High

$22

Hospitals reporting this code

#HospitalLocation
1Kaiser Foundation Hospital - RosevilleROSEVILLE, CA$18$18$22$30$6
2Kaiser Foundation Hospital - Santa ClaraSANTA CLARA, CA$18$18$22$30$6
3Kaiser Foundation Hospital - Oakland/richmondOakland, CA$18$18$22$30$6
4Kaiser Foundation Hospital - Modesto95356, CA$18$18$22$30$6
5Kaiser Foundation Hospital - South SacramentoSACRAMENTO, CA$18$18$22$30$6
6Kaiser Foundation Hospital - SacramentoSACRAMENTO, CA$18$18$22$30$6
7Kaiser Foundation Hospital & Rehab Center - VallejoVALLEJO, CA$18$18$22$30$6
8Kaiser Foundation Hospital - San FranciscoSAN FRANCISCO, CA$18$18$22$30$6
9Kaiser Foundation Hospital - Walnut CreekWALNUT CREEK, CA$18$18$22$30$6
10Kaiser Foundation Hospital - San JoseSAN JOSE, CA$18$18$22$30$6
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