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Illinois rates for HCPCS J7669

Metaproterenol sulfate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.53 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.36 / $6.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $100.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.44 / $0.89