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South Carolina 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
$12.17 / $24.34 / $36.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $36.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $1.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $2.14 / $2.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.20