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Tennessee 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 / $0.81 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.44 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.39 / $0.49