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West 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
$0.39 / $0.40 / $0.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.39 / $0.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.27 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.39 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $3.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.39 / $0.62