go back

North Carolina 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
$0.15 / $2.50 / $13.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.20 / $0.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00