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Massachusetts rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $12.39 / $174.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.36 / $9.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $12.27 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $9.02 / $19.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $15.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $26.38 / $137.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.01