go back

Louisiana rates for HCPCS J2810

Inj Theophylline Per 40 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.15