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Oklahoma 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
$1.00 / $1.70 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.78 / $3.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.17 / $4.17