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California rates for HCPCS J7658

Isoproterenol Hcl Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $3.87 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.72 / $1.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.20 / $2.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $2.06 / $5.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $2.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.76 / $3.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $1.67 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.17 / $5.17