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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
$2.82 / $3.31 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.16 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $6.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $16.98 / $18.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $16.22 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.63