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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

Facilitymedian $4 · 10th–90th $2–$130%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$80%50%90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.80 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $21.88 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.31 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.46
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $19.05 / $23.44
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $2.82 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $3.55