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Utah rates for HCPCS J7657

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

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17