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Iowa 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
$1.66 / $2.06 / $5.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.72 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.82 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $5.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $464.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $464.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $1.67 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.67