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Texas rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $19.34 / $115.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.15 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.70 / $14.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $8.00 / $65.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.09 / $88.09 / $88.09
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.98 / $10.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.08 / $13.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.88 / $7.08 / $10.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.08 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $9.56