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New York rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $5.48 / $8.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.41 / $9.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $8.41 / $8.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.83
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $7.93 / $7.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $11.90 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.73
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $7.93 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $8.41 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.41 / $11.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $8.41 / $8.73