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Ohio 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 / $0.20 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.21 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.09
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 / $1.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $1.29 / $16.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.24 / $1.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.13