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South Carolina 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
$0.10 / $0.11 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $2.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.10 / $1.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $1.20 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.09