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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.89 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.35 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $1.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $2.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11