go back

Illinois 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
$0.14 / $0.21 / $0.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $161.63 / $202.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $120.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.72 / $0.76