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Iowa 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 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.34 / $0.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $1.73 / $2.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.30 / $0.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.36 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.34 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.33