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Missouri rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $4.99 / $15.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $8.41 / $9.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $9.17 / $22.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $10.51
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $5.46 / $273.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.86 / $3.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $8.41 / $9.67