go back

South Carolina rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Facilitymedian $12 · 10th–90th $8$350%20%10th90th$12Professionalmedian $8 · 10th–90th $3$110%20%40%10th90th$8$0.2$1.0$5.0$20.0$100.0

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
$7.94 / $11.75 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.94 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $6.46 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $8.32 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $8.91 / $12.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $8.32 / $8.32