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Missouri rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $5.39 / $7.04
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $7.07 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $12.20 / $14.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $12.20 / $14.41