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Arkansas 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
$0.20 / $0.23 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $22.00 / $25.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $24.15 / $25.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.21