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West 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 / $1.85 / $3.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $2.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $1.56