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Virginia rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.38 / $332.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.87 / $0.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.22 / $1.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.75 / $1.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.70 / $1.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.79 / $1.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.79 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.83 / $0.83