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Virginia 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
$0.20 / $5.47 / $42.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $1.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $2.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.46
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.20 / $0.21