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New York 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 / $0.84 / $4.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.39 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.37 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.67 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.42 / $3.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.37 / $0.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.40 / $0.40