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Arizona rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.66 / $86.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.92 / $1.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $2.52 / $4.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.64 / $5.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.86 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83