go back

Oregon rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.83 / $94.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.10 / $1.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.43 / $1.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.19 / $1.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.88 / $1.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.89 / $1.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.10 / $1.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.90 / $0.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83