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Washington 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 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.07 / $8.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $13.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Facility
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