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Illinois rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Facilitymedian $12 · 10th–90th $6$210%20%10th90th$12Professionalmedian $5 · 10th–90th $5$120%50%90th$5$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $11.75 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $19.05 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $13.49