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Washington 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
$0.38 / $0.78 / $63.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $1.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.45 / $1.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.46 / $0.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.46
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 / $0.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.39