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Indiana 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 / $0.10 / $0.45
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 / $0.12 / $0.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.20