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Washington rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Facilitymedian $14 · 10th–90th $4–$460%10%20%10th90th$14Professionalmedian $8 · 10th–90th $4–$90%20%40%10th90th$8$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.55 / $14.79 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.32 / $9.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.32 / $13.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.07
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $8.32 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $10.96