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Tennessee rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $8.41 / $51.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $8.41 / $8.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $4.75 / $4.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $273.39 / $273.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $8.41 / $9.25