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Missouri 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
$2.57 / $3.55 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.57 / $7.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.65 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.34 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $2.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.30 / $0.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.37 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.38 / $0.47