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California 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
$0.31 / $11.25 / $45.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.22 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.49
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.23 / $0.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41