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Michigan 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 / $3.48 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $1.11 / $8.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.24