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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $54.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.32 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.28 / $2.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $1.19 / $1.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.27 / $0.27