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Alaska rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.23 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $4.17 / $6.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.31 / $3.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.98 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $2.14