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New Mexico 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
$1.97 / $1.97 / $1.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.76 / $1.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $6.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $5.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17