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West Virginia rates for HCPCS J2810

Injection, theophylline, per 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.05 / $1.05