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Ohio rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.80 / $6.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.94 / $5.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.39
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.12
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 / $0.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.92 / $1.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.90