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Ohio 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
$0.95 / $8.32 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.38 / $1.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $16.98 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.43 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.35
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $2.00 / $8.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.28
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $0.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.24