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Connecticut rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.60 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.42 / $0.46
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.43 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.05 / $1.07