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Washington, DC rates for HCPCS J7612

Levalbuterol Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Concentrated Form 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.85 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.23 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.27 / $0.44