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Illinois rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $11.26 / $18.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $18.46 / $93.09
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $16.89 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.30 / $6.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.90 / $13.58