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Arkansas rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.00 / $1.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.83 / $0.83