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California rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $0 · 10th–90th $0$10%50%10th90th$0Professionalmedian $1 · 10th–90th $0$10%20%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.42 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.40 / $0.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.42 / $0.56
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.81 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.56 / $1.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $2.24