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Wisconsin rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Facilitymedian $8 · 10th–90th $7–$200%50%10th90th$8Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.33 / $10.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $12.88