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Arizona 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
$0.76 / $1.42 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.83 / $29.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $2.36 / $3.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.71 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71