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New York rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Facilitymedian $1 · 10th–90th $1$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$100%50%90th$1$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.38 / $2.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.09 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $3.02
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $9.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.98 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $7.24
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.89 / $2.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.79 / $17.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.74 / $0.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.76 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.76 / $16.60
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.85
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.74 / $0.85