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Michigan rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.84 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.42 / $0.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.42 / $0.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.11