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Missouri 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 / $1.66 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $5.01 / $7.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.76 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $1.67 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.71