go back

Illinois 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 / $0.72 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.70 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.70 / $2.99
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $1.07