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Wisconsin rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.59 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $19.95 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.33 / $10.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $12.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $12.88