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Kansas rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.88 / $120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.85 / $1.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.70 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.86