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Utah rates for HCPCS J7614

Levalbuterol Non-Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.30 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.12 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09