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Indiana rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.80 / $119.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $0.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.66 / $2.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.83 / $1.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.83 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.03