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Massachusetts rates for HCPCS J7645

Ipratropium bromide, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.47 / $128.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $1.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $1.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.47 / $128.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $1.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05