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California 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
$3.55 / $4.79 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.88 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $9.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $7.24 / $8.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.40 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $3.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.19 / $5.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.29 / $4.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $6.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.95 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $40.74 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $5.50