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Pennsylvania 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 / $0.21 / $0.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $8,639.91
Capital Blue Cross
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 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $2.06 / $2.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.08 / $9.08 / $10.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.15 / $0.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.16