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Maryland rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $7.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.45 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $17.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17