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Maine rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $63.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $14.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $18.88 / $143.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $5.66 / $16.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $19.77 / $30.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $19.25 / $20.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $17.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $63.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $14.14 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $11.56 / $27.94