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Montana 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
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09