go back

Maine rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $49.26 / $107.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.86 / $9.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $31.37 / $107.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.86 / $14.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.39