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Utah rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $71.78 / $735.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.21 / $8.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $11.22 / $14.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.08 / $7.08