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Utah 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 $40 · 10th–90th $17–$7080%20%10th90th$40Professionalmedian $1 · 10th–90th $0–$10%10%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$16.98 / $39.81 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.55 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.27 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.20 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.21 / $0.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.20 / $0.20