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Michigan 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 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.22 / $0.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $1.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.14 / $2.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10