go back

Louisiana rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $7.72 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $8.41 / $8.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $17.64 / $20.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.22 / $4.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.41 / $9.27