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Idaho 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
$0.30 / $0.30 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.31 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.27
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 / $0.30 / $0.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.22 / $0.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.41