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Virginia rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.77 / $8.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.49 / $8.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $6.04 / $9.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $7.15 / $10.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $4.75 / $8.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $7.99 / $10.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $7.99 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.41 / $8.41