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Minnesota 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
$9.49 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.88 / $9.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $11.20 / $18.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $7.78 / $7.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $26.28 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $9.68 / $10.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $23.98 / $30.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.25 / $11.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $11.60 / $16.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $13.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $17.20