go back

Delaware 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
$3.37 / $11.40 / $34.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $3.05