| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.62 | $5.75 | |
Cigna
| Professional | $0.71 | $0.71 | $2.40 | |
United
| Facility | $0.35 | $0.35 | $0.65 | |
United
| Professional | $0.58 | $0.72 | $15.85 |
Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.62 | $5.75 | |
Cigna
| Professional | $0.71 | $0.71 | $2.40 | |
United
| Facility | $0.35 | $0.35 | $0.65 | |
United
| Professional | $0.58 | $0.72 | $15.85 |