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Pennsylvania rates for HCPCS J7609

Albuterol, inhalation solution, compounded product, administered through DME, unit dose, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.26 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.51 / $1.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.28 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.98 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.30 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.50 / $0.60