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New Hampshire rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $0 · 10th–90th $0–$10%20%40%90th$0Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.0$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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.87 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.78 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $1.05 / $1.05