go back

Washington, DC 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
$5.98 / $5.98 / $5.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $13.58 / $17.96