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Alaska rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $1 · 10th–90th $1–$30%20%40%10th90th$1Professionalmedian $2 · 10th–90th $0–$600%20%10th90th$2$0.5$2.0$10.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.23 / $3.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $128.82