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Arizona 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
$1.81 / $3.38 / $5.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.39 / $1.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $12.71 / $20.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.20 / $7.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $95.00
Medica
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