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Louisiana rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $9.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $7.27 / $10.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $6.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $15.62