go back

California rates for HCPCS J1180

Injection Dyphylline Up To 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $17.75 / $20.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.88 / $13.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.56 / $9.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $8.07 / $19.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $20.50 / $20.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $20.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $11.27 / $13.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $18.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $19.23