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Ohio rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $1.02 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $1.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.52 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.13