go back

Delaware rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.48 / $209.48 / $209.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.54 / $1.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.74 / $1.25