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Louisiana 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
$2.06 / $2.06 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.06 / $2.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $7.16 / $10.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.16 / $7.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $2.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.42 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.42