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Ohio rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.31 / $33.45 / $107.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $11.31 / $13.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $15.55 / $25.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $15.27
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $14.14 / $19.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.38 / $19.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $14.56 / $31.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $11.35 / $20.65
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $14.56 / $53.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $9.19 / $19.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $11.67 / $16.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.51 / $20.60