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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
$1.99 / $2.76 / $5.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.73 / $2.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.29 / $28.29 / $28.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $5.70