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South Carolina rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $8.83 / $16.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $8.41 / $8.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $5.92 / $181.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.19 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $8.83 / $11.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41