go back

Rhode Island rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $22.88 / $22.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $5.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $18.01