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Kansas 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
$0.50 / $1.72 / $12.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.42 / $0.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.49 / $1.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.41 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.66