go back

Nebraska rates for HCPCS J7657

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $464.38 / $464.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.38 / $464.38 / $464.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17