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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
$2.19 / $79.43 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $6.92 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $6.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.29 / $3.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.19 / $2.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.19 / $2.75
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $3.09