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Maryland rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $20.64 / $48.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.83 / $0.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.83 / $0.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77