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California rates for HCPCS J7614

Levalbuterol Non-Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.18 / $11.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.13 / $0.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.34
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $1.29 / $2.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.20