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West Virginia rates for HCPCS J1250

Injection, dobutamine HCl, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $57.24 / $165.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.36 / $9.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.62 / $10.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.68 / $7.08 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.72