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Utah rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $9.76 / $9.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $9.76 / $9.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $5.44 / $5.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $8.41 / $8.41