go back

Vermont rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $8.41 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $7.24 / $7.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $7.24 / $7.93
MVP Health Care
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 / $8.75