go back

Nebraska 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 / $0.35 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.72