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Pennsylvania rates for HCPCS J7613

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

Facilitymedian $8 · 10th–90th $0–$280%10%10th90th$8Professionalmedian $0 · 10th–90th $0–$10%10%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
$1.20 / $9.33 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.25 / $1.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $12.88
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.11
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $5,011.87
Capital Blue Cross
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
$0.08 / $0.28 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.42 / $0.45
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.08 / $0.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $4.68 / $5.89
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.11
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.40 / $14.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.07 / $0.12