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New Hampshire 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
$1.44 / $1.44 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
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 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.73 / $2.54