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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
$5.62 / $11.75 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $18.62 / $89.13
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
$12.30 / $16.98 / $151.36
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
$6.31 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.88 / $13.49