go back

Maine 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
$0.40 / $0.90 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.41 / $0.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.41 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.59