go back

Montana rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

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