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Wisconsin rates for HCPCS J7645

Ipratropium bromide, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Facilitymedian $2 · 10th–90th $0–$1000%10%20%10th90th$2Professionalmedian $0 · 10th–90th $0–$110%50%90th$0$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $3.09 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $1.70 / $1.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $0.05
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.05 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $89.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $70.79 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03