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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
$9.41 / $9.41 / $33.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $9.50 / $9.50
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
$13.59 / $13.59 / $13.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $3.66 / $5.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $13.59 / $13.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.23 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.30 / $36.60