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Minnesota 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 / $0.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.11 / $0.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.24 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.21 / $0.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.18