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Iowa rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $5.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.83 / $1.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.85 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.85 / $1.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.85 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.85 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66