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Alaska rates for HCPCS J7615

Levalbuterol, inhalation solution, compounded product, administered through DME, unit dose, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $7.98 / $7.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.27