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New Hampshire 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 / $0.44 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.39 / $0.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.59 / $1.61
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
$0.37 / $0.39 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.65 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.49