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Montana rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.41 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $9.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $8.41 / $8.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.38 / $9.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $9.11 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41