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Pennsylvania rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $36.15 / $94.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.01 / $19.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $7.68 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.82 / $36.44 / $122.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $33.47 / $96.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.35 / $24.26
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $7.08 / $7.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $8.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $8.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.00