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Wisconsin 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 / $0.14 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.30 / $388.38 / $550.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.63 / $166.47 / $202.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $0.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $95.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.72 / $0.86