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New Hampshire 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 / $0.88 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.07 / $2.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.18 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.65 / $21.43