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Ohio 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 / $3.38 / $5.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $2.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.77 / $1.77
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 / $2.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.18 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.13