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Iowa rates for HCPCS J2810

Inj Theophylline Per 40 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.90 / $1.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $1.50 / $1.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.52 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.05 / $1.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.54 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.47 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.08