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Wisconsin rates for HCPCS J7613

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.87 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.26 / $2.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
CareSource
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 / $0.18 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $1.95 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $58.88 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11