go back

Maine rates for HCPCS J7604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.33 / $54.33 / $54.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.34 / $2.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.33 / $54.33 / $54.33