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Virginia 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–$220%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.1$0.5$2.0$10.0

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
$1.07 / $1.07 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $7.59 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.41
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.46 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.63 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $2.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.33 / $1.35
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.40 / $0.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.40 / $0.43
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.42 / $2.45
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.42 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.28 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.38 / $0.40