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Missouri rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $19.01 / $32.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.30 / $13.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.85 / $65.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $11.67 / $38.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $29.66 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $14.40 / $21.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $22.73 / $85.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $10.48 / $17.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.48 / $19.77