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Texas 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 / $0.57 / $183.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $3.56 / $7.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $2.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.27 / $0.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.27 / $0.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.36