HCPCS Level IIdrugActive
J1645
Dalteparin sodium
BETOS: O1E
Effective: 2002-07-01
Referenced in 1 policies
Description
Injection, dalteparin sodium, per 2500 iu
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Fragmin
Manufacturer
Pfizer Inc
HCPCS Dosage
2500 IU
Billing Units
1.0000
9
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.