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Maine rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $45.71 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $9.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $31.62 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.94 / $11.75