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New Mexico rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $13.18 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.86 / $16.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $8.32 / $8.32