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Hawaii rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $13.22 / $16.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $16.97 / $16.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $30.33 / $35.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $16.97 / $21.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $16.97 / $27.46
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $25.70 / $35.59