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New York rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.59 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.43 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.25