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Massachusetts rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.59 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $8.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.51 / $3.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $8.13 / $11.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $15.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $14.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.51 / $3.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $8.13 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.55 / $13.18