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Washington rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.98 / $5.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $10.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $24.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $7.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $7.27 / $7.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $14.64