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Indiana rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $5.63 / $25.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $6.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.17 / $8.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61
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 / $16.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $24.40