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Pennsylvania 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 / $2.22 / $3.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.75 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
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 / $1.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.16 / $3.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.16