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Arizona rates for HCPCS J7606

Formoterol Fumarate Inhalation Solution Fda Approved Final Product

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $5.46 / $9.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.00 / $30.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $6.78 / $12.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.22 / $4.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $6.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.06 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73