Price of Dipyridamole 5 mg/ml IV Solution at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Dipyridamole 5 mg/ml IV Solution
Service Codes: LOCAL 5010003, HCPCS J1245
This intravenous solution is used to improve blood flow and is often administered during certain medical tests or procedures to assess heart function.
Pricing Overview
Cash Price
$10.65
Median Price
$16.25
Price Range
$5.60 - $40.90
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| Aetna | POS | $16.81 |
| EmblemHealth | GHI HMO | $22.41 |
| EmblemHealth | CMO Essential Plan 4 | $16.25 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $16.25 |
| EmblemHealth | GHI composite | $22.41 |
| MultiPlan | Screen Actors Guild | $40.90 |
| MultiPlan | Meritain Health | $40.90 |
| EmblemHealth | Select Care EPO | $16.25 |
| EmblemHealth | Select Care Bronze Exchange | $16.25 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $22.41 |
| EmblemHealth | Prime Gold | $16.25 |
| Aetna | Chesterfield Resources ASA PPO | $16.81 |
| Aetna | PPO | $16.81 |
| UnitedHealthcare | POMCO (UMR) | $40.90 |
| EmblemHealth | HIP Child Health Plus | $16.25 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $16.25 |
| EmblemHealth | IUOE Local 14-14B | $22.41 |
| EmblemHealth | American Plan Administrators | $22.41 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $16.25 |
| UnitedHealthcare | Student Resources | $5.60 |
| Cigna | NALC PPO | $17.93 |
| EmblemHealth | Select Care Gold Small Group | $16.25 |
| MultiPlan | PPO | $40.90 |
| EmblemHealth | Essential Plan 4 | $16.25 |
| MetroPlus | Essential Plan 1 | $10.65 |
| Cigna | Open Access | $17.93 |
| EmblemHealth | Select Care Platinum Exchange | $16.25 |
| MagnaCare | JIB Members | $13.45 |
| Cigna | Open Access PPO | $17.93 |
| UnitedHealthcare | Core | $5.60 |
| EmblemHealth | HIP Prime Basic | $16.25 |
| UnitedHealthcare | EPO | $5.60 |
| Aetna | Healthscope ASA PPO | $16.81 |
| MultiPlan | Kaiser Permanente | $40.90 |
| UnitedHealthcare | Navigate | $5.60 |
| EmblemHealth | Select Care Silver Small Group | $16.25 |
| EmblemHealth | Prime Platinum | $16.25 |
| MultiPlan | Diversified Admin Corp | $40.90 |
| UnitedHealthcare | Charter | $5.60 |
| MultiPlan | US Life Insurance Co | $40.90 |
| EmblemHealth | Prime Bronze | $16.25 |
| MetroPlus | Gold | $11.21 |
| EmblemHealth | Select Care HMO | $16.25 |
| EmblemHealth | HIP VIP Medicare Affinity | $16.25 |
| UnitedHealthcare | HMO | $5.60 |
| EmblemHealth | Select Care Healthcare Partners | $16.25 |
| Cigna | Open Access HMO | $17.93 |
| Cigna | Indemnity | $17.93 |
| EmblemHealth | HIP Optum Health | $16.25 |
| Aetna | HMO | $16.81 |
| EmblemHealth | HIP Montefiore | $16.25 |
| Aetna | Open Access Elect Choice EPO | $16.81 |
| EmblemHealth | HIP | $16.25 |
| Cigna | LifeSOURCE | $17.93 |
| MetroPlus | GoldCare 2 | $11.21 |
| MultiPlan | Healthnet of California | $40.90 |
| MetroPlus | Medicaid Managed Care | $7.28 |
| Aetna | Meritain Health | $16.81 |
| MultiPlan | PHCS | $40.90 |
| EmblemHealth | HIP EPO | $16.25 |
| GEHA | All Plans | $16.81 |
| EmblemHealth | Essential Plan 1, 200-250 | $16.25 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $16.25 |
| MultiPlan | Teamsters Allied Benefits | $40.90 |
| MagnaCare | Direct Plus | $13.45 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $5.60 |
| MultiPlan | Humana Health Plan | $40.90 |
| Cigna | Cigna Managed Care/POS | $17.93 |
| MultiPlan | Principal Financial Group | $40.90 |
| MultiPlan | QualCare Inc | $40.90 |
| MagnaCare | Independent Care Plus | $13.45 |
| EmblemHealth | Select Care Platinum Small Group | $16.25 |
| MetroPlus | Essential Plan 4 | $7.28 |
| EmblemHealth | CMO Essential Plan 1 | $16.25 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $16.25 |
| EmblemHealth | HIP compre health | $16.25 |
| MultiPlan | Paramount Insurance | $40.90 |
| MagnaCare | Capital District Physicians Health Plan | $13.45 |
| MultiPlan | Guardian Life Insurance Co | $40.90 |
| Aetna | Nippon Life ASA PPO | $16.81 |
| MetroPlus | Essential Plan 3-4 | $7.28 |
| EmblemHealth | HIP Access I | $16.25 |
| First Health | PPO | $40.90 |
| MagnaCare | National Health Plan | $13.45 |
| MagnaCare | Direct Plus Preferred | $13.45 |
| Humana | All Commercial Plans | $40.90 |
| Cigna | Tufts Health Plan | $17.93 |
| MultiPlan | Global Excel Management | $40.90 |
| EmblemHealth | WLNY-TV | $22.41 |
| EmblemHealth | GHI Medicare HMO | $22.41 |
| Cigna | Premier Plus | $17.93 |
| MetroPlus | SilverPlus | $17.37 |
| Cigna | Evernorth Behavioral Health | $17.93 |
| MultiPlan | Mutual of Omaha | $40.90 |
| EmblemHealth | Select Care Basic Exchange | $16.25 |
| Aetna | Global National Transplant | $16.81 |
| EmblemHealth | Select Care Gold Exchange | $16.25 |
| Aetna | Christian Brothers ASA PPO | $16.81 |
| UnitedHealthcare | Choice | $5.60 |
| Aetna | Allied ASA PPO | $16.81 |
| MultiPlan | PHCS Director Guild | $40.90 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $16.25 |
| EmblemHealth | HIP HMO | $16.25 |
| UnitedHealthcare - Oxford | Optum Health | $5.60 |
| MultiPlan | Fiserv Health | $40.90 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $16.25 |
| EmblemHealth | GHI EPO | $22.41 |
| Cigna | MVP-Cigna Network | $17.93 |
| EmblemHealth | GHI Behavioral Management Program | $22.41 |
| EmblemHealth | GHI Medicare Supplement | $22.41 |
| MultiPlan | Nippon Life | $40.90 |
| MetroPlus | BronzePlus | $17.37 |
| EmblemHealth | GHI Medicare PPO | $22.41 |
| UnitedHealthcare - Oxford | Liberty | $5.60 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $17.93 |
| EmblemHealth | HIP Access II | $16.25 |
| MetroPlus | Child Health Plus (CHP) | $7.28 |
| EmblemHealth | Prime Silver | $16.25 |
| MagnaCare | PPO | $13.45 |
| EmblemHealth | Bridge | $16.25 |
| MagnaCare | American Plan Administrators | $13.45 |
| MultiPlan | PHCS Savility | $40.90 |
| EmblemHealth | HIP POS | $16.25 |
| MultiPlan | Global Health Management | $40.90 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $16.25 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $16.25 |
| EmblemHealth | HIP VIP Medicare Montefiore | $16.25 |
| Aetna | Signature Administrators PPO | $16.81 |
| EmblemHealth | Enhanced Care (Medicaid) | $16.25 |
| EmblemHealth | Select Care Silver Exchange | $16.25 |
| Cigna | PPO | $17.93 |
| Aetna | Coresource ASA PPO | $16.81 |
| EmblemHealth | Essential Plan 3 | $16.25 |
| UnitedHealthcare - Oxford | Freedom | $5.60 |
| UnitedHealthcare | POS | $5.60 |
| MetroPlus | Essential Plan 3 | $7.28 |
| MultiPlan | PHP Healthcare (Champus) | $40.90 |
| EmblemHealth | HIP VIP Medicare Reserve | $16.25 |
| EmblemHealth | HIP VIP Medicare Bold | $16.25 |
| Aetna | Student Health | $16.81 |
| MultiPlan | Administrative Concepts | $40.90 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $16.25 |
| UnitedHealthcare | PPO | $5.60 |
| MetroPlus | PlatinumPlus | $17.37 |
| EmblemHealth | CMO Essential Plan 2 | $16.25 |
| EmblemHealth | HIP Healthcare Partners HMO | $16.25 |
| MetroPlus | GoldPlus | $17.37 |
| UnitedHealthcare - Oxford | Metro | $5.60 |
| EmblemHealth | HIP PPO | $16.25 |
| EmblemHealth | Select Care Bronze Small Group | $16.25 |
| UnitedHealthcare | Optum Health | $5.60 |
| MagnaCare | Cement & Concrete Workers District Council | $13.45 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $22.41 |
| EmblemHealth | Essential Plan 2 | $16.25 |
| MultiPlan | AXA Global Insurance | $40.90 |
| EmblemHealth | HIP compre health epo | $16.25 |
| EmblemHealth | Healthcare Partners Essential Plans | $16.25 |
| Cigna | HMO | $17.93 |
| MultiPlan | Capital District Physicians Health Plan | $40.90 |
| UnitedHealthcare | Choice (NY Power Authority) | $5.60 |
| Aetna | Indemnity | $16.81 |
| EmblemHealth | HIP Medicare Supplement | $16.25 |
| Aetna | Starmark ASA PPO | $16.81 |
| Cigna | Great West HMO | $17.93 |
| Aetna | Open Access HMO | $16.81 |
| Cigna | Wellfleet Student | $17.93 |
| EmblemHealth | CMO Essential Plan 3 | $16.25 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $16.25 |
| Health Net | PPO | $40.90 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $16.25 |
| EmblemHealth | HIP SmartStart | $16.25 |
| MetroPlus | Essential Plan 1-2, 200-250 | $10.65 |
| Aetna | Wellnet ASA PPO | $16.81 |
| MetroPlus | MedPlus | $17.37 |
| EmblemHealth | Vytra HMO | $16.25 |
| UnitedHealthcare | Golden Rule Insurance | $5.60 |
| Cigna | Great West PPO | $17.93 |
| EmblemHealth | Select Care PPOu00a0 | $16.25 |
| EmblemHealth | GHI PPO | $22.41 |
| MagnaCare | JIB Employees Security Fund | $13.45 |
| UnitedHealthcare | POMCO (UMR) | $5.60 |
| MetroPlus | Essential Plan 2 | $10.65 |
| UnitedHealthcare | Independent | $5.60 |