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Alaska rates for HCPCS J7620

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $9.27 / $65.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.36 / $0.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.67 / $1.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.53 / $0.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.60