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North Carolina 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 / $0.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.72 / $0.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00