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West Virginia rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $0.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.25 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.83 / $0.83