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Nevada rates for HCPCS J7639

Dornase Alpha Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.16 / $104.80 / $127.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $55.16 / $60.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.47 / $57.92 / $175.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $55.16 / $55.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $55.16 / $55.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $55.16 / $55.16
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $59.85 / $64.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.85 / $55.16 / $55.16