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Washington 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–$410%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%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
$30.90 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.37 / $1.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.34 / $0.56
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $2.14 / $7.94
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.45 / $0.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.38 / $0.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.42