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Pennsylvania 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
$0.72 / $1.85 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.72 / $2.04
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.77 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
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 / $2.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $16.21 / $20.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.85 / $2.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.80 / $2.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.71 / $2.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.71 / $1.30