go back

Michigan rates for HCPCS J7606

Formoterol Fumarate Inhalation Solution Fda Approved Final Product

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.81 / $6.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.81 / $2.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $3.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $12.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $3.94 / $21.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.73 / $3.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.70 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.73 / $3.00