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Wisconsin 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
$0.21 / $1.68 / $15.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.27 / $1.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.45 / $0.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.40 / $0.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $1.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.40 / $0.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.20 / $0.42