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Virginia rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $6.53 / $12.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $5.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $5.98 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.18 / $5.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $6.09 / $9.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.93 / $14.40