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Idaho rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.41 / $10.51
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $10.51 / $15.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $10.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41