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Missouri rates for HCPCS J7636

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.15 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.58 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.15