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Illinois 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 / $3.80 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $21.38 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $19.05 / $23.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $2.82 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.19 / $4.07