go back

Georgia rates for HCPCS J7659

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.72 / $1.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $6.56 / $6.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17