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California rates for HCPCS J7635

Atropine Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.22 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $202.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.38 / $0.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.26