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Ohio 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 / $0.85 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.91 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.39 / $0.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.39 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.49 / $2.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.42 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.55