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Illinois 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 / $0.35 / $7.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.70 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $1.98 / $11.86
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.55