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New York rates for HCPCS J7604

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.18 / $2.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $47.03 / $51.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25