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New Mexico 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 / $0.47 / $0.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.27 / $0.27