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Pennsylvania rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $9.02 / $37.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $8.41 / $8.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $9.11 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $10.19 / $38.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $8.41 / $11.73
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $8.41 / $8.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $4.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.41 / $11.61