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New York rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.96 / $18.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.83 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.19 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.83 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.83 / $1.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.83 / $0.86