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North Dakota 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 / $0.39 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.42 / $0.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.42 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.42