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Indiana rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Facilitymedian $0 · 10th–90th $0–$10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.1$0.1$0.2$0.5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.78 / $7.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.48 / $0.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.41 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.87 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.11 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.38 / $0.65