go back

New Mexico 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
$2.73 / $3.07 / $3.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $3.46 / $30.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $6.33 / $6.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $6.47 / $9.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.86 / $5.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.73