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Alaska rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $1.93 / $34.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.54 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $2.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.12 / $1.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.40 / $2.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.25 / $1.67