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Illinois 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
$1.07 / $1.32 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.14 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $16.22 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $107.15 / $131.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.12 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.72 / $1.35