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Utah rates for HCPCS 80198

Theophylline

Facilitymedian $95 · 10th–90th $16–$1260%20%10th90th$95Professionalmedian $11 · 10th–90th $9–$160%20%40%10th90th$11$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $95.50 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.79 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.77 / $27.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $12.59
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.13 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $19.95