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Georgia rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $59.48 / $190.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.15 / $9.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.68 / $7.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $7.08 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $13.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.72