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Texas 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 / $3.17 / $53.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.62 / $2.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.88 / $2.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.39
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
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.39 / $0.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.39 / $0.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.39 / $0.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.53