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California 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
$0.71 / $1.56 / $29.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $2.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.82 / $1.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $3.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.54 / $4.20
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.73 / $0.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.82 / $1.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $1.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.74 / $2.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $19.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.78 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.95