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Illinois rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $15.85 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $28.18 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $100.00 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.77