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Maryland rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $16.96 / $41.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.61 / $12.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $13.06 / $21.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $9.78 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $15.03 / $23.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $17.68 / $21.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $8.48 / $12.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $7.07 / $13.88