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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
$8.07 / $12.91 / $20.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $8.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $7.88 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $12.43 / $20.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $8.07 / $16.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $13.11