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Pennsylvania rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Facilitymedian $23 · 10th–90th $9–$390%10%20%10th90th$23Professionalmedian $8 · 10th–90th $7–$90%50%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $23.44 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $9.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $29.51 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $14.45
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $12.88 / $22.39
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.27 / $9.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.27 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.32 / $11.75