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Massachusetts 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 / $0.43 / $43.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $1.13 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.50 / $1.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.49
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.46 / $45.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $2.64
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $2.64