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Florida 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
$0.81 / $15.85 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.38 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $2.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.38 / $1.02
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.38 / $0.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.38 / $2.14