go back

Nebraska 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 / $1.31 / $1.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.57 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.18