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Indiana 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
$0.72 / $1.63 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $0.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.42 / $2.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.71 / $0.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.85
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 / $0.82 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.71 / $1.42