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Idaho rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.04
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.10 / $1.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.92