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Missouri rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.88 / $47.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.85 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.41 / $2.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.04
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
$0.66 / $1.20 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.66 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.83 / $0.84