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California rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.88 / $1.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.39 / $0.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.42 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.68
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $1.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.16