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Ohio 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
$0.71 / $1.54 / $2.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $2.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.66 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.71 / $1.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.71 / $0.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $4.17
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.38 / $20.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $2.38 / $4.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.86 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.71 / $1.00