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Hawaii 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
$0.42 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.47 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.44 / $0.59
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.45