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Kentucky rates for HCPCS J2810

Inj Theophylline Per 40 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.49 / $0.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.42 / $0.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $52,149.48 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.42 / $1.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.12