go back

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

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