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New Hampshire 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
$1.76 / $1.76 / $2.17
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
$2.06 / $2.06 / $2.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.43 / $6.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $4.17 / $4.17