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New Hampshire 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 / $0.10 / $0.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.15 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.36 / $0.56