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Texas rates for HCPCS J7635

Atropine, inhalation solution, compounded product, administered through DME, concentrated form, per mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12