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New Jersey rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.56 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.39 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.47 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.11