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Wisconsin rates for HCPCS J7612

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg

Facilitymedian $0 · 10th–90th $0–$850%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $7.59 / $7.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.54 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.48 / $0.71
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.35
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.54 / $0.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.33 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.30 / $0.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $54.95 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $0.35
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.37 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.28 / $0.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.38 / $0.56