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Illinois rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $8.41 / $14.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.41 / $8.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $12.77 / $73.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.64 / $42.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.93 / $10.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.92