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Hawaii rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $13.08 / $13.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $14.51 / $29.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.07 / $13.07 / $13.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.50 / $9.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.86 / $10.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $7.98 / $11.92