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Pennsylvania rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Facilitymedian $1 · 10th–90th $0–$460%20%40%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.15 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.37 / $1.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.42 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $1.12 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.47
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $2.14 / $2.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.32 / $0.56
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $0.27 / $0.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.27 / $0.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.12 / $0.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.38 / $0.65