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Utah rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $0.97 / $16,858.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.02 / $1.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83