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New Hampshire rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $7.98 / $37.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $10.62 / $29.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $11.79 / $21.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.84 / $7.11