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Wisconsin rates for HCPCS J7605

Arformoterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 15 mcg

Facilitymedian $1 · 10th–90th $1–$110%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.1$0.5$2.0$10.0$50.0

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 / $1.45 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $2.14 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.62 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.07 / $1.32
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.41 / $3.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.79 / $1.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $54.95 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $10.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $0.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.95 / $17.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.69 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.72 / $1.02