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Texas 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 / $0.06 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $129.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15