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Massachusetts 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 / $0.20 / $0.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $1.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.65 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $1.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.26 / $0.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.40
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.25 / $0.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $1.56
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.21 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $1.56