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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

Facilitymedian $0 · 10th–90th $0–$10%50%10th90th$0Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

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
$2.51 / $2.51 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.40 / $0.40
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.42 / $1.02
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $2.14 / $5.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.82 / $3.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.35 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.14 / $0.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.56 / $4.90