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Iowa rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $13.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $8.41 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.92 / $4.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $8.41 / $15.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.59 / $5.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $3.86 / $5.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $4.63 / $5.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $4.41 / $5.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $8.41 / $8.58
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86