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New York 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 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.32 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.21 / $1.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.74 / $0.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.23