go back

Maryland rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42