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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
$10.23 / $28.84 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $17.78 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $28.84 / $138.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.32 / $12.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.51