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North Carolina rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.07 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $7.94 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $7.59 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $8.32 / $8.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.57 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $8.32 / $9.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42