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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

Facilitymedian $2 · 10th–90th $1–$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$160%20%10th90th$2$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 / $1.86 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $6.46 / $20.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.78 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $2.40 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $1.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $16.22 / $17.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.83 / $4.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.91 / $17.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $2.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $3.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $3.16 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.32 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.72 / $1.20