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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.40 / $5.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.20 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.30 / $0.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.33 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.21 / $0.32