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Utah rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Facilitymedian $9 · 10th–90th $9–$110%50%90th$9Professionalmedian $8 · 10th–90th $8–$90%50%10th90th$8$0.1$0.5$2.0$10.0

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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.94 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $9.77 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $8.71 / $8.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.32 / $8.32