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Michigan rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $44.90 / $142.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.86 / $9.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $15.76 / $29.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.29 / $25.65 / $137.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.36 / $9.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.17 / $9.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.50