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Texas rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $7.74 / $8.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.41 / $8.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $6.03 / $13.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $273.39 / $273.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $8.41 / $12.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $7.95 / $15.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $8.41 / $12.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.41 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.87 / $11.35