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Idaho rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $114.29 / $122.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $27.57 / $27.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $14.98 / $55.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $16.52 / $20.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $24.71 / $28.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $16.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $14.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $31.82 / $52.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $24.44 / $24.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.42 / $30.88