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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
$7.94 / $29.51 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.94 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $30.20 / $30.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $11.22