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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
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $3.73 / $129.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $1.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.18
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 / $1.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $129.28 / $129.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05