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Missouri 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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.45 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.04 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.07 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.10