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Michigan 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
$0.41 / $4.47 / $7.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.75 / $1.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $2.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.39 / $0.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $1.28 / $7.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.36 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.39 / $0.43