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Maine 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
$22.02 / $22.02 / $23.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $8.05 / $8.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.05 / $9.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.02 / $23.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $23.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.49 / $13.76