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Minnesota rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.84 / $7.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $11.18 / $18.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.77 / $7.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $20.30 / $24.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.48 / $8.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $18.53 / $23.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $8.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $6.17 / $14.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $22.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $22.62