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Ohio rates for HCPCS J7604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $101.00 / $124.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $82.00 / $124.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.37 / $3.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97