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Maryland 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 / $0.09 / $0.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $1.29 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.12