go back

Massachusetts 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 / $0.15 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.61 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.66 / $0.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.89