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California rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.54 / $129.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.83 / $1.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.88 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.76 / $1.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.66 / $1.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.00 / $1.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.92 / $1.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.69