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Montana 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
$1.52 / $6.40 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20