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California rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $8.49 / $18.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $8.41 / $8.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $8.92 / $12.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.19 / $11.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.51 / $8.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $21.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $10.09 / $18.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $273.39 / $273.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $8.41 / $11.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $18.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $8.41 / $17.14