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Montana rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Facilitymedian $6 · 10th–90th $5–$100%50%10th90th$6Professionalmedian $5 · 10th–90th $5–$120%50%90th$5$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $6.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.31 / $6.46
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.31 / $6.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $12.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $7.08 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30