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New Jersey 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 / $0.54 / $4.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $134.15 / $323.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $1.64 / $1.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $1.56