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Oregon 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
$0.18 / $0.18 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.83