go back

New Mexico 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 / $0.14 / $0.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09