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Pennsylvania rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $14.79 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $8.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $7.94 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $12.88 / $20.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $12.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $13.18