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Nebraska rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $6.03 / $18.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.41 / $8.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $9.03 / $9.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $9.02 / $9.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.88 / $8.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $8.33 / $273.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.86 / $3.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.59 / $4.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $4.45 / $7.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $8.41 / $8.41