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Michigan rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $23.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.28 / $23.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.89 / $9.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $10.07