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New Hampshire rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Facilitymedian $6 · 10th–90th $0–$80%10%20%10th90th$6Professionalmedian $6 · 10th–90th $5–$120%20%10th90th$6$0.0$0.1$0.5$2.0$10.0

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
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.76 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.18 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $11.48 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $13.49