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Alaska rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $26.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.61 / $10.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $22.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.12 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.59 / $61.66