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North Carolina 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
$2.00 / $5.25 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $18.20 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $2.63 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.85 / $3.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $3.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.69 / $1.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.72 / $0.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00