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Georgia rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $5.67 / $8.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $8.41 / $8.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $9.11 / $9.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $8.41 / $8.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $16.48
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
$2.94 / $2.94 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41