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New Hampshire rates for HCPCS J7657

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $4.17 / $4.17