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North Dakota 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 / $2.00 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.40 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.95 / $2.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $3.31