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Pennsylvania 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
$0.11 / $6.30 / $24.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.16 / $0.77
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $142.16
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.42 / $0.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $3.67 / $5.89
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $142.16
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $5.85 / $25.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.15 / $0.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.15