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Arizona rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $9.00 / $25.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.41 / $9.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $15.62 / $39.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.74 / $53.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $8.41 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $6.00 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $11.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41