go back

Montana rates for HCPCS J7659

Isoproterenol HCl, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $3.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17