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New Hampshire rates for HCPCS J7606

Formoterol Fumarate Inhalation Solution Fda Approved Final Product

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $2.36 / $603.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.73 / $2.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.09 / $11.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.73 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $2.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $4.55 / $8.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $12.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $18.85 / $28.91