go back

Tennessee rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $7.59 / $11.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.84 / $5.84
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.93 / $15.62