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Nebraska 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
$1.35 / $3.25 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $2.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.78 / $1.80
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 / $2.33 / $3.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.29 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $3.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.45 / $3.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.27 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.16