go back

California rates for HCPCS J7606

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

Facilitymedian $3 · 10th–90th $2$80%20%10th90th$3Professionalmedian $2 · 10th–90th $2$80%50%10th90th$2$0.0$0.2$2.0$20.0$200.0

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
$3.55 / $4.79 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.29 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.19 / $7.24
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.46 / $8.32
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.40 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.09 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.75 / $3.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.19 / $8.91
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.29 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $1.70 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.19 / $6.03