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New York rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.88 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.08
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $30.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.77 / $26.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $9.77
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $11.48
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.32
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.08 / $8.51