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Nebraska rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $11.57 / $17.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $13.39 / $26.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $7.62 / $8.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $8.01 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $7.92 / $7.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.28 / $10.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $15.85 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $7.98 / $8.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $9.02 / $10.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.57 / $15.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.08 / $8.15