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Texas 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 / $0.12 / $0.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
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
$95.00 / $95.00 / $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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.16