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Tennessee 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 / $0.14 / $0.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.43
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.11