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Montana 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
$2.31 / $3.88 / $9.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.10 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08