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Washington, DC 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
$2.73 / $5.56 / $7.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $4.98 / $8.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.31 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.73 / $2.73