go back

New York 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
$1.97 / $2.73 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.73 / $2.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $13.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $9.88 / $10.37
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $9.88 / $9.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $11.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $6.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.96 / $18.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.73 / $2.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.73 / $12.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.73 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.73 / $6.32
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.83 / $4.99