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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.55 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.54 / $0.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.27 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.27 / $0.46