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North Carolina 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
$0.24 / $2.29 / $4.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.38 / $0.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.65 / $0.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.39 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $3.00 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.39 / $0.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00