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Delaware rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $93.33 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $24.55 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $12.02