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Montana rates for HCPCS J7607

Levalbuterol, inhalation solution, compounded product, administered through DME, concentrated form, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38