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Illinois rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.45 / $80.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $3.36 / $13.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.25 / $8.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.88