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Louisiana 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 / $0.83 / $2.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $0.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $5.27 / $5.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.77 / $313.77 / $313.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.71 / $1.48