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Nebraska 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 / $0.38 / $33.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.31 / $0.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.41 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $6.32 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.23 / $0.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.22 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.30