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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.64 / $22.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $2.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.27 / $1.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $3.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.35 / $2.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.35 / $2.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.27 / $0.28