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Connecticut rates for HCPCS J1260

Injection Dolasetron Mesylate 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $8.98 / $19.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $20.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $5.98 / $6.57
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.33 / $7.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.20 / $13.42