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Missouri 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 / $6.61 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.72 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.40 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $5.01 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.95 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $2.29 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.75