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Hawaii 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
$0.26 / $0.26 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.28 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.23 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.19 / $0.27