go back

North Carolina 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
$4.36 / $6.46 / $34.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $6.33 / $7.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $20.34 / $25.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $7.60 / $12.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $6.33 / $7.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $3.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00