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Montana 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
Professional
Modifier
Low / Median / High Price
$0.77 / $0.96 / $29.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $32.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $0.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.79 / $32.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71