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Illinois 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
$1.26 / $1.58 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.39 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $2.69 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $2.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $2.95 / $4.27
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.46 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.71