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Alaska rates for HCPCS J7644

Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.62 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $1.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.81 / $1.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.65 / $0.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $1.20