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Oregon rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.84 / $7.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $7.82 / $9.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.74 / $12.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.33 / $11.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $7.27 / $7.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.35 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.66 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $13.58