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South Carolina rates for HCPCS J7648

Isoetharine HCl, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.61
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 / $0.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.17 / $0.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.72