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Alaska rates for HCPCS J7658

Isoproterenol HCl, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $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
$5.89 / $6.31 / $12.59