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Virginia 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
$1.00 / $1.58 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.14 / $2.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.45 / $2.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.08