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Alaska rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $44.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $12.81 / $12.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.32 / $18.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.32 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $14.24 / $19.14