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Montana 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
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $3.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $2.09 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17