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North Carolina rates for HCPCS J7606

Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 mcg

Facilitymedian $7 · 10th–90th $3–$460%20%10th90th$7Professionalmedian $5 · 10th–90th $2–$80%20%40%10th90th$5$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.76 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $7.59 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.69 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.46
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.45 / $7.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $2.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $1.70 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.19 / $2.63
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00