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New Hampshire 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

Facilitymedian $1 · 10th–90th $0–$40%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$00%20%40%10th90th$0$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $3.39 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.22 / $0.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.44 / $0.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.21 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.42 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.34 / $0.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.20 / $0.42
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44