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North Carolina 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
$50.90 / $79.00 / $99.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $100.00