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Missouri rates for HCPCS J7612

Levalbuterol Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Concentrated Form 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $2.57 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $2.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.46 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.46 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.30 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.41