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West Virginia rates for HCPCS J1260

Injection, dolasetron mesylate, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $6.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.98 / $5.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.17 / $5.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $17.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $12.93 / $13.66