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Idaho 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
$1.97 / $3.83 / $87.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.97 / $3.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.73 / $6.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.86 / $3.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.70 / $3.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $3.82