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Maine 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
$0.63 / $0.63 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.27 / $0.47