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Arizona rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $21.24 / $80.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $10.52 / $29.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $26.49 / $44.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $7.73 / $45.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $10.52 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.15