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Oklahoma 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
$1.68 / $1.68 / $3.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.68 / $1.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $1.76 / $3.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.17 / $4.17