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New Jersey rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $6.76 / $51.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $5.11 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $8.41 / $8.86