go back

North Carolina 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
$1.76 / $1.76 / $2.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.76 / $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
$1.76 / $1.76 / $2.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $4.17 / $4.17
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00