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Montana rates for HCPCS J7615

Levalbuterol, inhalation solution, compounded product, administered through DME, unit dose, 0.5 mg

Facilitymedian $3 · 10th–90th $3–$30%50%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $3.16 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $3.16 / $3.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.47 / $3.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.47 / $3.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $3.16 / $3.16
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08