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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
$5.01 / $7.08 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $8.71 / $9.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.62 / $12.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.37 / $5.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.24 / $7.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.76 / $12.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.92 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $13.49