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New York 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
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.43 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.46 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.43 / $0.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.41 / $0.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.41 / $0.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.22 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.44 / $0.71
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.27 / $0.27