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Oregon rates for HCPCS J7644

Ipratropium Bromide Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.42 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.47 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.53 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.69 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.49 / $1.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.49 / $1.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.49 / $0.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.43 / $0.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.47