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Arizona rates for HCPCS J7648

Isoetharine Hcl Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.36 / $0.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $3.18 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.80 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72