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New Hampshire 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
$0.30 / $0.34 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.41 / $1.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.30
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 / $0.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.45 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.34