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Pennsylvania 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
$0.57 / $0.89 / $1.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.54 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.87 / $1.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $1.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.12 / $0.22