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Kansas 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 / $0.40 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $4.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.15