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Nebraska rates for HCPCS J7604

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $4.42 / $4.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $4.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97