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West Virginia rates for HCPCS J1245

Dipyridamole Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $8.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $9.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $12.62 / $12.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $8.41 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $8.41 / $8.41