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Alaska rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.55 / $1.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $3.60 / $5.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.83 / $3.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $3.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $2.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.81