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North Dakota rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $12.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.04 / $7.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $7.04 / $9.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $14.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $13.58 / $14.75