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Ohio rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $17.17 / $62.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.06 / $19.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $16.57 / $46.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $11.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $11.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $13.14 / $63.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $11.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.97 / $11.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.22