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South Carolina 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
$1.70 / $1.70 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.76 / $3.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
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 / $4.17