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South Carolina rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $1 · 10th–90th $0–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.2$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.17 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.62 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.15