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Wisconsin 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 / $0.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $3.57 / $5.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $1.55 / $1.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $70.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $12.12 / $18.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04