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Indiana 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 / $0.90 / $35.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $1.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.40 / $0.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.34