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Washington rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $15.96 / $74.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.66 / $19.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $7.08 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.81 / $8.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $6.68 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $9.19 / $16.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $6.91 / $7.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $8.02 / $8.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.50