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Oklahoma rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.69 / $15.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.69 / $7.69 / $7.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $8.46 / $11.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49