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Alaska rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $13.49 / $33.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.01 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $13.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.17 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.20 / $131.83