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Ohio 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
$2.19 / $4.37 / $7.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $4.68 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $4.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.75 / $2.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.75 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $7.59
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.19 / $6.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $16.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $3.89
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.29 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.68 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.19 / $2.88