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Indiana 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 / $5.75 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.31 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $3.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.07 / $5.50
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.68 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.88