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Arizona rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $14.08 / $21.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $7.39 / $8.86
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 / $6.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $7.93 / $11.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $12.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $12.20