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Washington 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
$0.37 / $0.37 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.48 / $1.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.43 / $1.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43