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Maine 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 / $0.46 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.46 / $5.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.35