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Idaho 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
$2.06 / $2.06 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.78 / $2.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.09 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17