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Wyoming rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $21.88 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.77 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.51 / $19.95