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Minnesota rates for HCPCS J7604

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

Facilitymedian $5 · 10th–90th $3$50%50%10th90th$5Professionalmedian $3 · 10th–90th $3$30%50%10th$3$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.13 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.39 / $3.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50