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Washington rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $1.32 / $28.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.83 / $1.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.83 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.83 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.90 / $1.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.82 / $0.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83