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Michigan rates for HCPCS J7657

Isoproterenol HCl, inhalation solution, compounded product, administered through DME, concentrated form, per mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $11.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.17 / $4.25