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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

Facilitymedian $1 · 10th–90th $1–$20%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.91 / $1.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.44 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.87 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.71 / $0.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.40 / $0.87
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40