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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

Facilitymedian $2 · 10th–90th $2–$30%50%10th90th$2Professionalmedian $2 · 10th–90th $2–$100%50%90th$2$1.0$5.0$20.0$100.0

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
$2.69 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.29
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.14 / $2.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.19 / $5.75
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $6.31 / $16.60
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $9.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.40 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.31 / $6.61