go back

Minnesota 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 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.60 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.56 / $1.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $2.27 / $8.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.37