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Michigan rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $8.66 / $31.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.41 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $18.71 / $35.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.93 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $8.41 / $8.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $8.81 / $31.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.41 / $10.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $4.43 / $9.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.92