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Minnesota rates for HCPCS J2810

Inj Theophylline Per 40 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.47 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.19 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $1.09 / $1.37
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.42 / $0.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.89