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Idaho rates for HCPCS J7636

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.57 / $0.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.17