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Maryland rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $7.98 / $20.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $7.39