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Texas 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 / $0.67 / $1.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.56 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.57 / $0.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.57 / $0.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.16