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Wyoming rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.86 / $8.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.75 / $4.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $7.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41