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South Carolina rates for HCPCS J7612

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

Facilitymedian $0 · 10th–90th $0–$20%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%50%10th90th$0$0.1$0.2$1.0$5.0$20.0

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
$1.45 / $1.62 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.34 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.45 / $0.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.47
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.40 / $0.66
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.11 / $0.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.38 / $0.38