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Hawaii rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.05 / $1.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.39