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New York rates for HCPCS J7614

Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg

Facilitymedian $1 · 10th–90th $0–$30%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.89 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.39 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.11 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $1.91
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.10 / $0.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.09 / $2.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.10 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.08 / $4.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.11