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Ohio 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
$12.02 / $12.02 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $6.03 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.23 / $0.43
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 / $0.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.37 / $0.50
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
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 / $0.03