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Illinois 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
$0.54 / $0.81 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.38 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $16.89 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.32