go back

New York 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 / $1.35 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.44 / $1.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $225.00 / $305.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.19 / $107.19 / $180.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $14.54 / $16.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61