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California 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
$0.15 / $0.34 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.15 / $0.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $161.63 / $202.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $1.02