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Pennsylvania 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
$0.40 / $1.37 / $24.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.41 / $1.05
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.46 / $370.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.42 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
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 / $0.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $2.85 / $3.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $19.92 / $31.02
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.45 / $355.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $1.19 / $22.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.42 / $1.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.71