Updated as of: July 1st, 2024



HCPCS Code Descriptor:

Injection, dipyridamole, per 10 mg

Medicare Payment Limit:

The Dipyridamole Medicare Payment Limit is $3.876.

Average Sale Price:

DIPYRIDAMOLE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Dipyridamole Medicare Co-Insurance percentage is 20%. Dipyridamole's Medicare Co-Insurance amount is $0.775

APC Code:

The Dipyridamole APC Code is: not available

APC Payment Limit:

The APC Payment Limit for DIPYRIDAMOLE is not available.

Dipyridamole Cost Information:

Dipyridamole's HCPCS code is J1245. The code was added on January 1, 1993, and became effective on January 1, 1998. Since 2016, Dipyridamole's WAC has seen one slight price increase in April 2018, and one larger, more significant increase in July 2018. The WAC has followed the same trend, remaining consistent outside of one slight increase in April 2018, and one larger increase in July 2018. The ASP stayed at consistent level between January 2016 and February 2018, before entering into a period of sharp price increases and decreases between January 2019 and July 2020. Since July 2020, the ASP has seen slight fluctuations from month to month, but has remained at a fairly consistent price close to the WAC.


Dipyridamole’s wholesale acquisition cost (WAC) information was last updated on:
June 29, 2018
Dipyridamole’s average wholesale price (AWP) information was last updated on:
June 29, 2018