go back

Nebraska rates for HCPCS J7658

Isoproterenol Hcl Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.98 / $4.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.34 / $2.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.27 / $2.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.76 / $3.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $6.66 / $464.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $464.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17