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Oklahoma 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
$0.41 / $5.65 / $12.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.41 / $0.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.43 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $0.39