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Texas rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.76 / $99.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.84 / $1.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.56 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.68 / $0.68
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.84 / $1.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.92 / $1.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.83 / $1.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.77 / $1.12