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Missouri 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
$2.82 / $2.95 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.82 / $3.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.23 / $1.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.69 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.79 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.91 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.89