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New York rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $1 · 10th–90th $0–$20%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.39 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.43 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.50 / $1.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.49
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.05 / $1.82
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.26
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.25 / $0.26