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New York rates for HCPCS J7606

Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 mcg

Facilitymedian $3 · 10th–90th $2$60%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2$50%50%10th90th$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
$2.19 / $3.09 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $7.76
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $10.47
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.34 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $11.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $6.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.95 / $18.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.82 / $2.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $1.78 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.19 / $16.22
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $3.31
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.82 / $3.31