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New Hampshire rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $4.32 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $12.62 / $34.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.41 / $8.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $8.41 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $14.00 / $25.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.65 / $7.13