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Illinois 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
$1.66 / $2.49 / $3.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.75 / $3.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $120.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $1.67 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $4.17 / $4.42