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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

Facilitymedian $4 · 10th–90th $3–$280%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$2.82 / $3.31 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.16 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $6.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $16.98 / $18.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $16.22 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.19 / $2.69