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Nebraska rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $13.53 / $15.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $9.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $6.98 / $6.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $6.91 / $6.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $10.70 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $14.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.58 / $9.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $6.27 / $10.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $14.52