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Alaska rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $14.69 / $156.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $13.17 / $18.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $18.82 / $18.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $22.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $11.65 / $18.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $16.64 / $27.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.62 / $14.28