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Washington 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
$0.78 / $1.99 / $27.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.78 / $16.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.78 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $2.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.11 / $3.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.89 / $2.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.49 / $2.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.22 / $2.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71