go back

California 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
$0.40 / $0.96 / $33.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $1.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.43 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.86
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.49 / $0.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.45 / $0.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.41 / $0.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.80