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Maryland 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 / $0.27 / $0.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $2.18 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.27 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.41