go back

Tennessee 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 / $0.23 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $95.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.72