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Indiana rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $48.74 / $142.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.15 / $7.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $14.16 / $21.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $7.08 / $10.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $7.08 / $21.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.46