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Pennsylvania rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Facilitymedian $2 · 10th–90th $1–$210%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.09 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.95 / $2.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $0.87 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $2.82 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.38 / $1.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $6.31
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.48 / $2.09
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.72 / $0.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.72 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.10