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New Jersey rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $8.43 / $14.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.84 / $5.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $6.17 / $6.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.81 / $13.94