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Washington rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $8.02 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $8.41 / $9.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $8.41 / $273.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $8.41 / $8.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $7.93 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $10.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $8.41 / $17.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $4.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.20 / $4.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $3.84 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41