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Michigan 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
$0.73 / $0.81 / $2.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.73 / $0.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $2.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $10.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.42 / $20.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.73 / $0.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.69 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.71 / $0.78