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Massachusetts rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.14 / $55.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $2.22 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.83 / $1.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.06 / $2.25
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.76
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.51 / $56.51 / $58.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.83 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.83 / $1.15