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Montana rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Facilitymedian $4 · 10th–90th $1–$190%20%40%10th90th$4Professionalmedian $8 · 10th–90th $5–$100%50%10th90th$8$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.51 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.32 / $8.32
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $3.98 / $11.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $3.98 / $11.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $10.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32