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Kentucky rates for HCPCS J7604

Acetylcysteine, inhalation solution, compounded product, administered through DME, unit dose form, per g

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $101.00 / $101.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.80 / $2.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.37 / $2.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $47,999.52 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,499.57 / $48,999.51 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00