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North Dakota rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $8.41 / $8.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $8.41 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.17 / $9.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.15 / $9.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.94 / $4.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.86 / $12.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.86 / $4.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $8.41 / $9.13