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Maine rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.44 / $2.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $198.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.44 / $2.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.16