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Arizona rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $18.98 / $28.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $7.69 / $9.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $11.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49