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Texas 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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.17 / $4.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.79