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Wisconsin 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 / $0.24 / $3.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.21 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $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
$0.08 / $0.18 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.09
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 / $1.90 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.33
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.11 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.17