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Iowa 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
$0.39 / $0.57 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.71 / $1.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.57 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.44 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.36 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.64
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.39 / $0.43