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New York rates for HCPCS J7613

Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg

Facilitymedian $1 · 10th–90th $0–$60%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%10%20%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$0.30 / $1.41 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.21 / $0.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.10 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.55
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.09 / $0.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.15 / $0.63
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.09 / $0.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.07 / $0.87
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.09
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08