go back

Missouri 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
$109.65 / $109.65 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $100.00 / $100.00