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Maine 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
$6.33 / $6.33 / $9.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.84 / $2.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $7.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $3.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.83 / $9.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.73 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.73 / $10.98