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Louisiana rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $8.38 / $65.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.29 / $9.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.43 / $13.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $8.97 / $9.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $88.09 / $88.09
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.72