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Maine rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.83 / $1.25