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Utah rates for HCPCS J7620

Albuterol Up To 2.5 Mg And Ipratropium Bromide Up To 0.5 Mg Non-Compounded Inhalation Solution Administered Through Dme

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $15.28 / $75.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.37 / $1.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.16 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20