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Arizona 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
$2.21 / $4.13 / $6.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.68 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $3.18 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.80 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.09 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17