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New York rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $5.63 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.63 / $5.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $6.37 / $15.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.55 / $6.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $7.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.32 / $7.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.55 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $17.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.93 / $16.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.88