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Pennsylvania 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 / $0.08 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.62 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
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 / $1.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04