go back

Pennsylvania rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.64 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.84 / $1.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.90 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $6.28 / $41.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.64 / $19.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.84 / $2.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.14