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Indiana 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
$1.58 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $63,095.73 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.43 / $1.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.18 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.59