go back

Wisconsin rates for HCPCS J2810

Injection, theophylline, per 40 mg

Facilitymedian $1 · 10th–90th $0$20%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0$20%20%10th90th$1$0.5$2.0$10.0$50.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.89 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $0.60
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.42 / $0.42
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.42 / $0.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.41 / $0.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.56 / $0.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.45