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Virginia 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 / $3.76 / $53.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.39 / $2.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.41 / $0.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.41 / $3.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.47 / $0.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.47 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.39 / $0.41