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Alabama rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.98 / $9.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $11.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $12.93