go back

Wyoming 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
$23.44 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.33 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.48 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.20