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Wisconsin rates for HCPCS J7615

Levalbuterol Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.40 / $1.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $3.23 / $8.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $4.47 / $6.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.33 / $3.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.86 / $2.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $2.38 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.86 / $2.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $4.63 / $6.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $95.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.15 / $6.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.14