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Michigan rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $17.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $19.73 / $36.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.17 / $6.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $7.04 / $15.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.04 / $8.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $15.62