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Texas 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 / $2.88 / $5.75
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.78 / $4.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.78 / $4.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.78 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $1.66 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $4.17 / $4.17