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Wisconsin rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Facilitymedian $6 · 10th–90th $4$150%20%40%10th90th$6Professionalmedian $5 · 10th–90th $5$120%20%40%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $7.24 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $15.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.61 / $7.94
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.62 / $6.17
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $9.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.62 / $6.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.49 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.71 / $12.02
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.88 / $16.98