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New Jersey 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
$0.27 / $0.59 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $2.00 / $2.27
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $1.13