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Minnesota rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$00%50%10th90th$0$0.1$0.1$0.2$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.60 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.26 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.44 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.20 / $1.41
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.42 / $0.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.95