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Tennessee 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
$1.40 / $2.10 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.40 / $1.48
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $95.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.09 / $0.14