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Oklahoma rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $14.65 / $135.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $7.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $9.11 / $14.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $7.08 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $8.61 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.98 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.15