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Idaho rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.98 / $7.04
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $6.41 / $15.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $5.52 / $5.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $13.58