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Rhode Island rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.91