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Hawaii rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $5.65 / $5.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $10.09 / $11.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $8.41 / $12.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $3.82 / $4.99