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California rates for HCPCS J7613

Albuteral Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Unit Dose 1 Mg (Code Eff Changed Back To 010105 Due To Old Claims)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $8.40 / $45.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.16
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.57 / $0.68
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.16