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Indiana rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $22.91 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.92 / $14.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $14.13 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.23 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $9.12 / $15.49