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Washington rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.44 / $1.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $95.00 / $95.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.88 / $75.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $5.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.96 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62