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Connecticut 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
$2.54 / $3.06 / $7.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.76 / $2.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $4.84 / $14.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.96 / $16.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $16.57