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New Jersey 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
$2.42 / $2.99 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $7.57 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $6.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $15.89 / $18.01
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $9.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.73 / $14.77