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Pennsylvania rates for HCPCS J7669

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

Facilitymedian $1 · 10th–90th $0–$20%20%40%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.07 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $25.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.45 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.81 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.18 / $0.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.44 / $0.81