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Missouri rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $16.55 / $120.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.98 / $9.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.72 / $18.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $15.74 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $7.98 / $9.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $7.08 / $8.66