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New Mexico 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
$0.25 / $2.22 / $13.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.20