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Kentucky rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $11.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $7.28 / $7.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $5.86 / $6.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.22 / $5.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.07 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.00 / $17.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.93 / $13.58