go back

New Hampshire 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
$8.07 / $8.07 / $9.93
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
$8.05 / $8.05 / $8.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $13.07 / $24.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.88 / $11.30