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Virginia rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.35 / $31.11 / $139.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $12.64 / $13.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $68.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $8.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.91 / $64.05 / $95.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $37.19 / $72.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $9.47 / $16.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $17.68 / $20.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $12.83 / $13.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $21.40 / $35.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $19.91 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $19.77 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.36 / $12.60