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Utah 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
$0.09 / $15.85 / $99.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.32 / $1.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.06 / $60.00
Regence BlueShield
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