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Idaho rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.45 / $1.69
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 / $3.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.44 / $2.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.13