go back

Massachusetts 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
$8.07 / $8.07 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.43 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $9.49 / $13.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $10.27 / $21.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.05 / $16.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.49 / $14.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.49 / $13.29