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Louisiana 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
$2.00 / $2.29 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $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
$0.02 / $0.68 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.95