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Utah 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
$0.82 / $0.82 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $29.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.22 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.69 / $1.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71