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Maine rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $8.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $9.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $23.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.55 / $13.80