go back

North Carolina rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.98 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.98 / $5.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $11.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.15
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 / $7.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.98 / $6.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.93 / $16.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $100.00 / $100.00