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Alaska rates for HCPCS J7606

Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $5.42 / $12.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.07 / $5.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $11.73 / $18.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $9.22 / $10.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $26.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.96 / $21.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.09 / $8.19