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Idaho 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 / $0.39 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.41 / $0.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.36 / $0.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.54