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New Mexico 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
$0.17 / $0.17 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $6.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.72