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New Hampshire rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $9.12 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.49 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $12.30