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Washington 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
$0.08 / $0.33 / $78.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08