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Virginia rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $47.54 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.44 / $7.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $11.80 / $17.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $8.50 / $10.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $7.08 / $12.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $7.08 / $9.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $7.08 / $9.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $7.08 / $8.89