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Wisconsin 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 $8 · 10th–90th $0–$210%10%20%10th90th$8Professionalmedian $0 · 10th–90th $0–$20%10%10th90th$0$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
$0.47 / $10.00 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.43 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.27
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.13 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.45 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.30 / $0.36
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.40 / $0.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $1.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.20 / $0.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $54.95 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.20 / $0.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.27 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.19 / $0.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.20 / $0.30