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West Virginia 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 / $0.09 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $4.01