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Ohio 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 / $0.32 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $59,499.41 / $61,249.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $1.74 / $202.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.79