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Texas rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.92 / $1.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
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 / $0.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.42 / $0.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.41 / $0.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.56