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Minnesota 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
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.23 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.71 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.29 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.81 / $0.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.14 / $2.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.79 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.70