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California 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
$1.40 / $3.38 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.40 / $1.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.52 / $2.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.38 / $191.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $100.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $95.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.22