go back

Iowa rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $13.45 / $66.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.32 / $29.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.28 / $10.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.77 / $22.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.57 / $9.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $11.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $9.57 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.66 / $11.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.29
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98