go back

New York 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 / $0.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $225.00 / $305.00
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 / $0.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $23.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $6.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.06
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06