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Utah rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Facilitymedian $3 · 10th–90th $1–$16,9820%20%40%10th90th$3Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1.07 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.79 / $0.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.79 / $0.79