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New York 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 / $0.38 / $0.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.27 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.47 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.30 / $2.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.28
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $2.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.28