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Mississippi 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
$7.78 / $11.39 / $11.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $8.07 / $11.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.49 / $12.15