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Washington 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
$0.15 / $0.15 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.70 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $161.63 / $202.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14