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Washington 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
$0.06 / $0.12 / $7.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.27
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $1.19 / $1.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $1.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09