go back

Maine 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
$4.80 / $4.80 / $5.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $2.06 / $2.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $5.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $4.17 / $6.05