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Wyoming 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
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.54 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.38 / $0.38