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Maryland 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
$0.79 / $0.79 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.80 / $2.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.38 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.71 / $20.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.71 / $0.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.81 / $1.07