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North Carolina rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $15.85 / $137.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $7.08 / $11.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.01 / $17.25 / $18.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $7.98
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 / $8.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.43 / $9.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.72 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00