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Pennsylvania 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

Facilitymedian $7 · 10th–90th $0–$130%20%10th90th$7Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $7.76 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.39 / $1.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $33.11
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $416.87
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.21 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.41 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $1.74 / $1.86
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.24 / $1.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.13 / $8.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.25
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.31
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.15 / $0.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.15 / $0.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.08 / $0.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.20 / $0.33