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Iowa rates for HCPCS J7614

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $1.52 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $1.31 / $4.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.15 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10