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West Virginia rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.35 / $124.20 / $179.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $11.45 / $11.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $19.09 / $21.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $16.97 / $19.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $27.00 / $42.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $20.65 / $91.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.97 / $93.68 / $151.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $21.50 / $21.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.48 / $27.89