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Massachusetts rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $21.45 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.37 / $15.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $7.87 / $16.78
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $13.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.07 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.93 / $18.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.93 / $18.05