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Nebraska 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
$0.79 / $1.07 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $29.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.80 / $0.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.80 / $0.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.89 / $2.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.50 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.79 / $6.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.97 / $11.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $7.67 / $27.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.71 / $1.28