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Maine 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
$4.80 / $4.80 / $5.18
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 / $198.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $5.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $4.17 / $6.05