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Louisiana 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
$0.18 / $0.18 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $161.63 / $202.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.72 / $0.77