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Texas 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 / $94.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $3.00 / $5.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.33 / $5.32
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $0.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12