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Nebraska rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $0 · 10th–90th $0–$20%20%10th90th$0Professionalmedian $1 · 10th–90th $0–$10%50%10th$1$0.5$2.0$10.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.45 / $0.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.46 / $0.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.41 / $0.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.05 / $1.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.74 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.05 / $1.05