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Oklahoma rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $5.79 / $98.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.08 / $9.08 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.86 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $8.41 / $8.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $4.38 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $3.86 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41