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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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.23
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 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.57 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.49 / $14.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17