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Virginia rates for HCPCS J7609

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

Facilitymedian $1 · 10th–90th $1–$120%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%90th$0$0.2$0.5$1.0$2.0$5.0$10.0$20.0

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
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.35 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.10 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.62
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.18 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.89 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $19.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.51 / $0.60
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.52 / $0.74
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.52 / $0.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.50 / $0.76