go back

Delaware 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
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $4.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $17.64