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Montana rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $83.12 / $95.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $8.06 / $14.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.41 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $9.28 / $17.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $9.28 / $17.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.68 / $10.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08