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Idaho rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $9.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.23 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.12 / $11.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $7.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $10.96